| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.27 | $5,370.32 | $7,943.28 | |
Hally Health
| Professional | $794.33 | $1,230.27 | $3,019.95 | |
Medica
| Facility | $977.24 | $2,137.96 | $7,244.36 | |
Medica
| Facility | AS | $371.54 | $371.54 | $371.54 |
Midlands
| Professional | $1,288.25 | $1,949.84 | $2,951.21 | |
United
| Facility | $2,137.96 | $5,248.07 | $7,413.10 |